Dr. Douglas Workman goes over a patient chart with nurse Kellie Gardner at Broadlawns Medical Center. The primary care clinic opened with a long waiting list in 2009.

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Iowa clinics and hospitals should expect a wave of chronically ill people when a new state health insurance program starts in January, a report suggests.

The report from the Public Policy Center assesses the health of people now on IowaCare, a limited health care program for poor adults. IowaCare covers about 70,000 people, most of whom are expected to switch next year to the new Iowa Health and Wellness Plan, which will provide broader insurance coverage to roughly 150,000 poor Iowans.